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Socioeconomically vulnerable patients experience high rates of pain, barriers to care, and greater risks from conventional pain treatments. Multimodal, nonpharmacologic approaches are recommended as firstline treatments for pain but are often unavailable in resource-limited settings. In 2016, a...
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Healing—possibly up to 80%—comes from factors outside of what we usually do in the clinic or hospital. The primary determinants of health involve social, environmental, lifestyle, and complementary medicine factors that few clinicians learn to deliver. Patients, through diet, can combat some chronic...
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PAINWeek faculty favorites Jen Bolen and Dr. Doug Gourlay illustrate the connection between carrying out licensing board directives on using opioids to treat pain and reasonably prudent medical decision-making, and don’t forget documentation. What should a practitioner do in a court of law if called...
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Courtney Kominek is a Clinical Pharmacy Specialist in Pain Management at the Truman VA in Columbia, Missouri; Abigail Brooks is a Clinical Pharmacy Specialist in Pain Management at the West Palm Beach VA. Here they talk about examples of risk mitigation strategies.
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Medicine and science builds and grows on the foundations of what has come before. Although pain management discoveries have been at a relative snail’s pace, there have been recent advances in existing medications and analgesic devices, as well as exciting new molecules and formulations on the...
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There are no clear guidelines for developing an inpatient acute pain service. How does it start? Who runs it? Mechele Fillman, of Christus St. Vincent in Santa Fe, New Mexico, talks of her experiences starting and running an inpatient acute pain service.
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Recent clinical guidelines and professional society position papers for opioid prescribing recommend that, prior to initiating opioid therapy in selected candidates, providers should screen patients to identify those at risk for developing an opioid use disorder, and that patients maintained on...
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A chronic pain patient may see many doctors, from their general practitioner to a pain specialist. But what comes between those visits? Who refers? To whom? And when? Associate Professor Paul Christo, of the Johns Hopkins University School of Medicine, tells of his experiences.
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Chronic pain and alcohol consumption are both very common in the general population, and alcohol is often used to numb both physical and emotional pain. Moderate alcohol use has been associated with improved pain related outcomes for certain pain conditions. However, both excessive binge drinking...
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Naloxone saves lives. But it’s not a treatment for abuse. Some people feel drug users will carry naloxone and think they have a free pass to take drugs. Others disagree. In this interview, Dr. Mel Pohl, a clinical assistant professor at the University of Nevada School of Medicine, and chief medical...